Until our online ordering is Complete this will be our interim system, we are sorry for any inconvenience it may cause. You can also copy the text and paste it into a E-mail and send us your info- ongreenperformance@comcast.net , if you feel uneasy about sending you credit card number in an e-mail we are always happy to call you for it.
Please Read our Disclaimer
By placing an order you agree to the Terms
-Instructions: You can either print this form out, or copy and paste it into Microsoft works, or word pad, and fill it out-That's usually easiest.
Full Name: _________________________________________
Street Address: _____________________________________City: _______________ State: _______________ Zip: ______________
Home Phone # ____________________
Work Phone # ____________________ X______E-mail Address: ________________________
Year: ___________ Make: ______________ Model:___________Turbo: _____ AWD: _____ FWD: ____Transmission: ________________________Modifications You Have Done: ______________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Money Orders and Cashiers Checks Only!
Shipping: All Items are Shipped USPS 2-3 Day Priority, your Order will be shipped all together unless otherwise specified. Please keep in Mind Special order items such as pistons may take several weeks.
Items: please specify manufacture, item, vehicle application and price.
#1 _______________________________________________QTY#____Price: ________
#2 _______________________________________________QTY# ____ Price: _______
#3 _______________________________________________QTY# ____ Price: _______
#4 _______________________________________________QTY #____ Price: ________
#5 _______________________________________________QTY #____ Price: ________
**Please Contact Us for a S&H Quote S&H:___________
Total:_____________
Addition Comments:
-Mailing address
On Green Performance
P. O. Box 70128
Rosedale MD 21237